HomeMy WebLinkAbout56943_GRICE, LYNWOOD_20101105�CAMA / ❑ DREDGE & FILL
dGENERAL PERMIT Previous permit#
L]New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
1 ' \ f . t
Applicant Name_ Project Location: County
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (`) River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
WOMEN
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Agent or Applicant Printed Named
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # Local Planningf urisdiction Rover File
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temQ impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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OCT-2e-2010 06:02 AM 8HORELIHE HARIHE CONST
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1+252+393+7934 R.01
Shoreline
Marine Construction, znco
580 PEARSON CIRCLE
NEWPORT, NC 28510 License # 62746 -Marine
mobile 252 646 3212
office / fax 252 393 7934
email: &brooks 1 Qec. rr.com
FAX COVER SHEET
TO: � �c F<i,Q A-p_p-
XMTE -J 0 - Z a' - 2-p (O EAX # oZ !I-- O
AG SENT:
(including this cover)
SUBJECT i PROJECT: T),c4 RFatA(&A45p2T— w
IJsw dfAt RtA&f,f2. e10AjP6-,aM0rVDr4
Bair l,,�r/�Vl anrc��►6r-
P►� .
0 C T — 2 8 — 2 0 1 0 0E-+ -12, Ar•1 SHORELINE MARINE COHST. 1+252+393+;934 F.Vag
. North Carouna uepartment ul Cr ivn ui I i PZi I QI iu I VULLA1 ul 1 w.rvM. vvv
Division of Coastal Management
I Beverly Eaves Perdue, Governor James H. Gregson, Director Dee freeman, Secretary
Date 0 " "`
Name of Property owner Applying for Permit:
Law oo
Mailing Address:
G A o 5 A-rr+ P\
tof Irof kfN
I certify that I have authorized (agent) / ! ��+' � �'� D�o1� to act on my
behalf, for the purpose of applying for and obtaining all CAMAA Permits necessary to
install or construct (activity) oho c K >e cL
at (my property located at)
fn�:Wk , Pa. ?,?55
im VM
This certification is valid thru (date) r C)
r3
signature
i CA 7 c 0
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www,nccoastaimanagement.net
An Equal opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
OCT-28�-2010 06:03 AM SHORELINE MARINE CONST. 1+252+393+7934
P.03
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE&MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that 1 own property adjacent to LJ )Vw p o
ArVl S N me of Property Owner)
property located at 3001 S+
�^ Q (Lot, Block,, Road, etc.) j
on ���� J°+.t n ra[ in . ma/ 0 l�y a ail �t �i , N.C.
(Waterbody) (Town and/or County) e
Applicant's phone #: -q,iq r+ 5 1 17PMailing Address: 61R65 s4r0rt-A 4b1, RCS
7
He has described to me, as shown below, the development he its proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I d9 not wish to waive
l dg wish to waive that setback requirement.
----- -- ----------------------- -r
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fllled in by individual proposing development)
re f act' `8X! 5 r"`� a&:;
(Information for Property Owner Applying
for Permit)
GA 0srr1v�ti
Mailing Address v
Pin t apt k d C.-
7407
City/State ip
euct Q 5 1
lenhouc Number
na�u� v r
Y^,I Lv Otv0G A t c4
(Riparian Property Owner Information)
1
sign ture
11 :b%14
Print or T pe Name
'LSZ•2y � •3�f/`�
Telephone Number
Date Date
OCT-2e-2010 06:03 AN SHORELIHE NRPIHE COhJST. 1+252+393+7934
MCTmc5,2010 00:36 From: 7o:1+252+393+7934
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I hereby oatlfj tlwt I overt propWgr Wacoptta A 1#004- &fW f- is
P--✓a A At(M-AMS of Prop" 0"04
pmp" loom at 42
ST
441, me* Road, ate.)
(Wagtrboily) (Ttrwe a.d/ar Cetaslty)
!t!!lret'MI ia■• s t7 A Ad&M-. A
App p llso to p 7
He bas described to aye, ad altovm below- the development h$ is pro"Bing .t that ioeati N rrod, l
have nv objections to hit propeeal. I undamataed that a pldr/ate0rin8 pllla 11 beatlif! I bboaftUSe
must be sat bark a minimum dlsWM Of flUM *at (151 from my anal 0 f Pari Iloa
waived by m. (If you wish to waive the OdWek, you malt Initial the pprp� blap
below.)
I ljusi wish to waive
1 lg wisb to waive that wtback mquiremaeL
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